Provider Demographics
NPI:1477842664
Name:GUILLERMO BORRERO MD & ASSOCIATES, PC
Entity Type:Organization
Organization Name:GUILLERMO BORRERO MD & ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:PISANI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:412-469-8933
Mailing Address - Street 1:575 COAL VALLEY RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3730
Mailing Address - Country:US
Mailing Address - Phone:412-469-8933
Mailing Address - Fax:412-466-2990
Practice Address - Street 1:575 COAL VALLEY RD
Practice Address - Street 2:SUITE 303
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3730
Practice Address - Country:US
Practice Address - Phone:412-469-8933
Practice Address - Fax:412-466-2990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1760621OtherHIGHMARK